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- Volume 21, Issue 2, 2005
Southern African Journal of Critical Care - Volume 21, Issue 2, 2005
Volume 21, Issue 2, 2005
Source: Southern African Journal of Critical Care 21 (2005)More Less
The recent World Congress of the World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM) in Buenos Aires, Argentina, was well attended by delegates from South Africa. At the meeting a number of CCSSA members, including Sats Bhagwanjee, Shelley Schmollgruber and Andrew Argent, presented papers. Sats Bhagwanjee was elected as secretary general of the World Federation. He has also been appointed as editor of the World Federation journal, and is active on a number of international research and training projects.
Source: Southern African Journal of Critical Care 21, pp 68 –69 (2005)More Less
'It is not necessary to be clairvoyant to know the future; it is only necessary to clearly interpret what has already happened and then project forward the likely consequences of those happenings.' Chaos theory talks about the dissolution of old patterns and the development of new and innovative ones. The nursing profession in South Africa needs to begin to recognise new trends and modalities that are emerging in health care in this country. Change theory also informs us that even an unsettled time is also an era of opportunity. This is our time of opportunity!
Author Minette CoetzeeSource: Southern African Journal of Critical Care 21, pp 70 –76 (2005)More Less
Four years ago a Nursing Standards Generating Body (SGB) was established to gather wide input and formulate national educational standards for nursing. Possibly for the first time in South Africa this process offered a platform to consider how paediatric critical care is different from adult critical care. During the course of the 3-year SGB process, the Critical Care Society of South Africa (CCSSA) coordinated an exceptional response after having garnered wide participation from South African critical care nurses, educators and clinicians.
Predictive validity of pressure risk assessment scales in a private sector trauma intensive care unitSource: Southern African Journal of Critical Care 21, pp 78 –86 (2005)More Less
Background. Risk assessment scales are considered essential tools in pressure ulcer prevention, but none of them have been tested for predictive validity (sensitivity, specificity and positive and negative predictive value) in intensive care, especially in the South African context.
Purpose. To compare the sensitivity, specificity and predictive value of a pressure ulcer risk assessment scale developed for intensive care unit patients (research scale) with the one that was currently being used in the research unit (control scale).
Method. Sixty-six patients were assessed over a period of 3 months. Pressure ulcer risk was calculated on a weekly basis using both assessment scales. Predictive risk was compared with the actual outcome (pressure ulcer development) in order to determine the sensitivity and specificity of each scale.
Results. Twenty-five (38%) of the sampled patients developed pressure ulcers. There was significant asymmetry (p < 0.05) between the two scales, with the control scale having a tendency to classify more patients as being at risk. The two scales matched well for sensitivity, but the research scale had a higher specificity (71% v. 29%) and positive predictive value (63% v. 44%).
Conclusion. It was concluded that the research scale is superior to the control scale, as it was able to predict risk with more accuracy.
Author Roseanne E. TurnerSource: Southern African Journal of Critical Care 21, pp 88 –90 (2005)More Less
As an independent critical care nurse educator, the author works with students in critical care units across the Cape Peninsula including those in both the government and the major private hospital groups. One noticeable problem identified in all these units is the apparent lack of nursing knowledge and practice guidelines with regard to the initiation of enteral feeding. This leads to inconsistency with regard to feeding, which in turn results in compromised nutritional goals.
Unpredictability : nurses' lived experience of caring for long-term mechanically ventilated patients in intensive care unitsSource: Southern African Journal of Critical Care 21, pp 91 –94 (2005)More Less
This phenomenological study was prompted by questions about intensive care nurses' experiences of caring for long-term mechanically ventilated patients in a potentially hostile environment. Data were collected by tape-recorded semi-structured interviews and from a focus group of five registered nurses in the intensive care units of a major tertiary level government hospital in Cape Town who volunteered to participate in the study.
Data from the semi-structured tape-recorded interviews and from the focus group were transcribed verbatim and analysed using Colaizzi's phenomenological research method of inductive reduction. Four themes emerged: 'bonding', 'maintaining', 'stress-inducing' and 'unpredictability'.
Source: Southern African Journal of Critical Care 21, pp 95 –100 (2005)More Less
One of the most important conclusions of a research study conducted by the Human Sciences Research Council in the late 1980s was that junior intensive care unit (ICU) nurses bear a heavy burden as a result of staff shortages in the ICU and do not receive sufficient support from nursing service managers. ICU nurses regularly present with work-related problems such as lack of motivation and frustration due to inadequate equipment, and staff turnover is high. Are ICU nurses unhappy because they do not receive enough support? The question arises, 'How do nurses experience the support they receive in the ICU?'
The purpose of this study was to describe and explore the support received by ICU nurses in private hospitals in Gauteng. To answer the research question, a qualitative, descriptive, explorative and contextual research design was followed. The target population was qualified ICU nurses working in private hospitals in Gauteng. A purposeful convenience sampling was done. The sample consisted of 6 nurses working in five different ICUs in different private hospitals in the Gauteng area. The research question put forward to the group was 'Tell me about support in the ICU'. Trustworthiness was ensured and the data obtained from the interview were divided into four categories, namely stress and conflict, debriefing, interpersonal skills and communication, and demotivation. From these categories, guidelines were developed to help support ICU nurses better.